Medicare Enrolled
Dr. Robert Fishel, MD
Clinical Cardiac Electrophysiology Physician · Atlantis, FL
Practice pattern: Remote & Electrophysiology
— Practice combining remote and electrophysiology services
Consulting-driven
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Fishel from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Fishel
Dr. Robert Fishel is a clinical cardiac electrophysiology physician in Atlantis, FL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Fishel performed 7,040 Medicare services across 3,163 unique beneficiaries.
Between the years covered by Open Payments, Dr. Fishel received a total of $111,207 from 25 pharmaceutical and/or device companies across 297 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in clinical cardiac electrophysiology physician. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Fishel is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice
▲ Top 13% volume in FL
$111,207 industry payments
Florida License Status
FL DOH · MQA1
Active license
None
Board action on record
0
Recent admin complaints
| Profession | License # | Status | Expires | Board Action |
|---|---|---|---|---|
| Medical Doctor | 68167 | Clear | January 31, 2028 | — |
Data from Florida Department of Health Medical Quality Assurance.
License records are public under Chapter 119, Florida Statutes.
Verify directly on FL DOH →
Medicare Practice Summary
Medicare Utilization ↗7,040
Medicare services
Top 13% in FL for clinical cardiac electrophysiology physician
3,163
Unique beneficiaries
$80
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~371 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Remote cardiac rhythm monitor evaluation, up to 30 days Review and analysis of data from a remote cardiac rhythm monitoring system over a period of up to 30 days. |
1,541 | $20 | $156 |
| Remote monitoring of implantable heart rhythm device Evaluation of data transmitted remotely from an implantable cardiovascular monitor, such as a loop recorder or subcutaneous cardiac rhythm monitor, over a period up to 30 days. |
1,505 | $28 | $192 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
856 | $98 | $662 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
802 | $11 | $76 |
| Cardiac rhythm monitor evaluation Review and analysis of data recorded by a cardiac rhythm monitoring device to assess heart activity. |
259 | $38 | $256 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
147 | $84 | $542 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
147 | $2 | $15 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
133 | $60 | $400 |
| Heart chamber tissue destruction via catheter A procedure that destroys tissue in the upper heart chamber using a tube to treat abnormal heart rhythm. |
130 | $267 | $1,706 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
130 | $128 | $872 |
| Continuous ECG monitoring, up to 30 days Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results. |
120 | $21 | $134 |
| 30-day continuous ECG with patient-triggered event transmission and review This procedure involves continuous electrocardiogram monitoring for up to 30 days, including the transmission of patient-triggered events. A healthcare professional reviews the data and provides a report. |
119 | $612 | $4,341 |
| Remote pacemaker/defibrillator monitoring, 90 days Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check. |
119 | $17 | $116 |
| Follow-up ultrasound of heart blood flow, valves and chambers An ultrasound exam that follows up on the heart's blood flow, valves, and chambers. It uses sound waves to create images of the heart's structure and function. |
109 | $6 | $37 |
| Heart rhythm stimulator programming after drug infusion Adjustment of a heart rhythm stimulation device following a drug infusion. This procedure involves reprogramming the device settings to ensure proper function after the medication has been administered. |
91 | $69 | $450 |
| Remote pacemaker monitoring, 90 days Remote assessment of a pacemaker system, including single, dual, multiple lead, or leadless devices, performed up to 90 days apart. |
86 | $23 | $155 |
| Atrial fibrillation ablation with pulmonary vein isolation A procedure to treat atrial fibrillation by mapping the heart's electrical activity and destroying tissue causing irregular contractions. This is done by isolating the pulmonary veins using catheter-based destruction. |
74 | $807 | $5,356 |
| Evaluation of implantable heart and blood vessel monitoring system This procedure involves checking the function and data of an implanted device used to monitor heart and blood vessel activity. |
70 | $37 | $278 |
| Catheter ablation for abnormal heart rhythm A procedure where catheters are inserted to destroy tissue causing irregular heartbeats. |
57 | $267 | $1,710 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
56 | $70 | $470 |
| Removal of subcutaneous heart rhythm monitor This procedure involves the removal of a heart rhythm monitor that has been implanted under the skin. It is a minor surgical intervention to extract the device. |
49 | $37 | $481 |
| External shock to heart to regulate heart beat A procedure that delivers an electric shock to the heart from outside the body to restore a normal heart rhythm. |
44 | $88 | $565 |
| Remote monitoring of implantable heart device, up to 30 days Remote evaluation of an implanted heart or blood vessel monitoring system over a period of up to 30 days. |
43 | $20 | $139 |
| Programming of dual lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with two leads to ensure proper function. |
38 | $77 | $502 |
| Echocardiogram, transthoracic An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers. |
38 | $14 | $90 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
36 | $117 | $745 |
| Remote evaluation of implantable defibrillator system Remote assessment of a single, dual, or multiple lead implantable defibrillator system within 90 days of the previous evaluation. |
33 | $27 | $190 |
| Pacemaker system programming Adjustment and testing of a multi-lead pacemaker to ensure proper function and settings. |
32 | $67 | $438 |
| Programming of multiple lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with multiple leads to ensure proper function. |
32 | $86 | $547 |
| Radiofrequency ablation for supraventricular tachycardia A procedure to locate and destroy abnormal heart tissue in the upper chambers of the heart that causes a rapid heart rate. |
30 | $692 | $4,658 |
| Insertion of implantable heart rhythm monitor A small device is placed under the skin to continuously record the heart's electrical activity. This helps detect irregular heart rhythms that may not appear during a standard office visit. |
29 | $3,344 | $22,475 |
| Left heart catheterization with pacing and arrhythmia induction A procedure where catheters are inserted to record electrical activity and pace the left lower chamber of the heart. It also involves intentionally inducing an abnormal heart rhythm for diagnostic purposes. |
26 | $145 | $924 |
| Cardiac rhythm monitor programming Adjustment and configuration of an implanted cardiac rhythm monitoring device to ensure proper operation and data collection. |
24 | $46 | $318 |
| Insertion of catheter into left heart chamber through septum A procedure to place a tube into the left side of the heart by passing it through the wall separating the heart chambers. |
24 | $180 | $1,156 |
| Heart catheterization to identify abnormal heart rhythm A tube is inserted into the heart chambers to record electrical activity and locate the source of an irregular heartbeat. |
11 | $233 | $1,486 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
15.1% high complexity
4.2% medium
80.7% routine
Industry Payment Transparency
Open Payments through 2024 ↗$111,207
Total received (2018-2024)
Avg $15,887/year across 7 years
Top 15% in FL for clinical cardiac electrophysiology physician
25
Companies
297
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$94,116 (84.6%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$13,891 (12.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$3,200 (2.9%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$11,525
2023
$18,548
2022
$14,903
2021
$1,256
2020
$34,317
2019
$21,558
2018
$9,101
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medical Device Business Services, Inc.
$46,818
Biosense Webster, Inc.
$37,463
Braemar Manufacturing, LLC
$10,026
Philips Electronics North America Corporation
$5,223
Boston Scientific Corporation
$3,862
Medtronic, Inc.
$2,567
Medtronic Vascular, Inc.
$1,750
Abbott Laboratories
$779
Impulse Dynamics (USA) Inc.
$488
Philips North America LLC
$482
GE HEALTHCARE
$390
ABIOMED
$328
AngioDynamics, Inc.
$229
Respicardia, Inc.
$173
SANOFI-AVENTIS U.S. LLC
$152
Siemens Medical Solutions USA, Inc.
$142
E.R. Squibb & Sons, L.L.C.
$102
Johnson & Johnson Health Care Systems Inc.
$68
CARDIVA MEDICAL, INC.
$41
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$37
GE HealthCare
$27
LivaNova USA, Inc.
$18
Bardy Diagnostics, Inc.
$15
Coala Life Inc
$15
Novo Nordisk Inc
$14
Top 3 companies account for 84.8% of total payments
Associated products mentioned in payments ›
(5091) Amb Mon & Diag Und · (7999) SRC Undivided · (BK5) Azurion 5 M20 · (CM9) Amb Mon & Diag Und · (P84) IGT Devices Systems · AMPLATZER AMULET · ARCTIC FRONT ADVANCE · ASSURITY · AURORA EV-ICD MRI SURESCAN · AVEIR · AZURE XT DR MRI SURESCAN · Advisa · Allia · Amplia MRI · Arctic Front · Azure · CAMZYOS · CARDIOBLATE CRYOFLEX · CARDIVA VASCADE MVP VVCS 6-12F · CARTO 3 · CLINICAL TRIAL PRODUCT · CONFIRM RX · Cardiac Monitoring Suite · CareLink · CareLink Express · Carnation Ambulatory Monitor · Carto 3 · Carto 3 System · Carto Smarttouch · CartoSound · Cios Alpha · Claria MRI · Coala Heart Monitor · Confidense · Confirm Rx · Connect HF · DecaNav · ELIQUIS · ENSITE · Ellipse ICD · EnSite Precision Cardiac Mapping System · Evera · FORTIFY ASSURA · Fortify Assura · GALLANT · ICDs · Impella · JOT DX · LINQ II · LifeVest · MICRA · MULTAQ · MYCARELINK · Micra · OCTARAY MAPPING CATHETER · OPTIMIZER · Optimizer · Ozempic · PENTARAY · QDOT MICRO Catheter · REVEAL LINQ · Reveal LINQ · Soundstar · Tandem Life Kit · Thermocool SF · WATCHMAN · remede System
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
The majority of payments (85%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers.
Equivalent to $1,580 per 100 Medicare services performed
Geographic Context
Clinical cardiac electrophysiology physicians within 10 mi
13
Per 100K population
0.9
County median income
$81,115
Nearest hospital
HCA FLORIDA JFK HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Fishel is a remote & electrophysiology specialist, with above-average Medicare volume (top 13% in FL), with consulting-driven industry engagement in the top 15% of FL peers, with 19 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Fishel experienced with remote cardiac rhythm monitor evaluation, up to 30 days?
Based on Medicare claims data, Dr. Fishel performed 1,541 remote cardiac rhythm monitor evaluation, up to 30 days services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Fishel receive payments from pharmaceutical companies?
Yes. Dr. Fishel received a total of $111,207 from 25 companies across 297 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Fishel's costs compare to other clinical cardiac electrophysiology physicians in Atlantis?
Dr. Fishel's average Medicare payment per service is $80. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Fishel) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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